112 results match your criteria Pediatrics Limp


Primary Hyperparathyroidism From Ectopic Parathyroid Adenoma in a 12-Year-Old With Slipped Capital Femoral Epiphysis.

J Endocr Soc 2022 Jun 7;6(6):bvac071. Epub 2022 May 7.

Division of Endocrinology, Department of Pediatrics, Boston Children's Hospital, Boston, MA 02115, USA.

Primary hyperparathyroidism has been reported in pediatric patients presenting with slipped capital femoral epiphysis (SCFE), but never in patients with ectopic parathyroid adenoma. A 12-year-old boy with obesity and autism spectrum disorder presented with a limp and was found to have bilateral SCFE. Calcium was elevated to 12. Read More

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Vitamin C deficiency in a 12-year-old male presenting with knee pain: a case report.

CJEM 2022 May 9. Epub 2022 May 9.

Division of Pediatric Emergency Medicine, Dalhousie University, IWK Health, Halifax, NS, Canada.

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How essential are in-person clinic visits during maintenance treatment of children with acute lymphoblastic leukemia?

Pediatr Blood Cancer 2022 07 11;69(7):e29713. Epub 2022 Apr 11.

Division of Hematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada.

Background: Acute lymphoblastic leukemia (ALL) is the most common cancer in children. Treatment consists of an initial intensive phase of chemotherapy, followed by a prolonged period of maintenance chemotherapy intended to reduce the risk of relapse. During the COVID-19 pandemic, the need arose to identify and reduce non-essential hospital visits. Read More

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Obturator pyomyositis and labium majus cellulitis: A case report and literature review.

SAGE Open Med Case Rep 2022 25;10:2050313X211063781. Epub 2022 Mar 25.

Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan.

Pyomyositis is a rare, subacute, deep bacterial infection of the skeletal muscle. When treatment is delayed, pyomyositis causes abscess formation and progresses to sepsis; therefore, its early diagnosis is important. However, the clinical presentation and laboratory findings of pyomyositis are not specific; hence, diagnosis often takes time. Read More

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Surveillance for Developmental Dysplasia of the Hip in India: Consensus Guidelines From the Pediatric Orthopaedic Society of India, Indian Academy of Pediatrics, National Neonatology Forum of India, Indian Radiological and Imaging Association, Indian Federation of Ultrasound in Medicine and Biology, Federation of Obstetric and Gynaecological Societies of India, and Indian Orthopaedic Association.

Indian Pediatr 2022 Mar 28. Epub 2022 Mar 28.

Department of Gynaecology, Thanawala Maternity Home, Vashi, Navi Mumbai, Maharashtra.

Justification: When developmental dysplasia of the hip (DDH) is diagnosed during infancy, conservative management is often successful, with good long-term outcomes. In India, DDH is often not diagnosed until walking age and there are limited guidelines for its screening.

Process: A multidisciplinary Expert Group consisting of members of the Paediatric Orthopaedic Society of India, Indian Academy of Pediatrics, National Neonatology Forum of India, Indian Radiological and Imaging Association, Indian Federation of Ultrasound in Medicine and Biology, Federation of Obstetric and Gynaecological Societies of India, and Indian Orthopaedic Association worked collaboratively to develop surveillance guidelines for DDH. Read More

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Ligamentum Teres Transfer During Medial Open Reduction in Patients with Developmental Dysplasia of the Hip.

Iowa Orthop J 2021;41(1):47-53

University of California San Diego School of Medicine, La Jolla, CA, USA.

Background: The ligamentum teres (LT) is believed to have a number of functions, including a role in hip stability, nociception, proprioception, vascular supply to the femoral head, and synovial fluid circulation. The LT is often excised in the process of performing a medial open reduction (MOR) of the hip. We sought to conduct a retrospective review of hips undergoing a MOR for dislocated infantile developmental dysplasia of the hip (DDH) to compare clinical and radiographic outcomes for patients with and without LT reconstruction. Read More

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October 2021

Obturator internus and externus muscle abscess caused by methicillin-resistant in a 6-year-old boy: A case report.

SAGE Open Med Case Rep 2021 1;9:2050313X211044340. Epub 2021 Sep 1.

Teaching Hospital Karapitiya, Galle, Sri Lanka.

Obturator abscess is a rare condition in children which usually occurs commonly in tropical countries. Because of its rarity, vague symptomatology and a lack of focus about this condition, the diagnosis of obturator abscess is commonly delayed or missed. Hence, physicians should be familiar with this condition and have a high index of suspicion when a patient presents with fever, pain in the thigh, hip or abdomen and a limp on the affected side which are considered as the classic clinical triad of obturator abscess. Read More

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September 2021

A Girl with Limp and Rash on the Palms and Soles.

Pediatr Rev 2021 09;42(Suppl 2):99-103

Department of Pediatrics, Division of Rheumatology, Children's Mercy Hospital, Kansas City, MO.

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September 2021

Yield of Plain Radiography in Addition to Ultrasound Among Children with Hip Pain.

J Emerg Med 2021 10 24;61(4):376-380. Epub 2021 Jun 24.

Division of Emergency Medicine, Boston Children's Hospital Harvard Medical School, Boston, Massachusetts,; Department of Orthopedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

Background: Children with limp or hip pain often undergo radiographs and ultrasound as part of their initial evaluation. Previous research suggests that hip radiography may have limited utility, and early use of ultrasound may safely reduce the use of radiographs.

Objectives: We sought to assess the utility of radiography in addition to ultrasound by evaluating the rate of bony abnormalities present on hip radiographs among children with and without effusion on ultrasound. Read More

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October 2021

Neonate with a limp arm.

J Paediatr Child Health 2022 Feb 13;58(2):347-348. Epub 2021 Apr 13.

Department of General Medicine, Women's and Children's Hospital, Adelaide, South Australia, Australia.

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February 2022

Slipped Capital Femoral Epiphysis: Early Intervention and Referral.

J Pediatr Health Care 2021 Mar-Apr;35(2):242-250

Slipped capital femoral epiphysis is the most common hip pathology in children aged 8-15 years old. Research has shown that when a nonorthopedic provider evaluates this patient population, there can be a significant delay in the appropriate treatment, which may have serious consequences for the prognosis of the patient. The delays are often caused by the practitioner's inability to put the clinical picture into focus with regard to how these patients typically present. Read More

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October 2021

Test characteristics of history, examination and investigations in the evaluation for septic arthritis in the child presenting with acute non-traumatic limp. A systematic review.

BMJ Open 2020 12 30;10(12):e038088. Epub 2020 Dec 30.

Department of Paediatrics, School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia

Background: Septic arthritis is an uncommon but potentially significant diagnosis to be considered when a child presents to the emergency department (ED) with non-traumatic limp. Our objective was to determine the diagnostic accuracy of clinical findings (history and examination) and investigation results (pathology tests and imaging) for the diagnosis of septic arthritis among children presenting with acute non-traumatic limp to the ED.

Methods: Systematic review of the literature published between 1966 and June 2019 on MEDLINE and EMBASE databases. Read More

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December 2020

The flea's knees: A unique presentation of cat scratch disease.

Am J Emerg Med 2021 06 24;44:477.e5-477.e6. Epub 2020 Oct 24.

Clinical Lecturer, University of Michigan, Departments of Emergency Medicine and Pediatrics, Ann Arbor, MI, USA.

A 4-year-old girl presented to the emergency department with right leg pain and associated limp for one day. There was no trauma or injury; she had no fever or recent illness. Her exam was notable for tenderness and swelling to the right knee, most prominent in the popliteal region. Read More

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Scurvy in a Pediatric Patient With Autism and Limp: A Case Report.

J Emerg Med 2021 Mar 24;60(3):e53-e56. Epub 2020 Oct 24.

Division of Emergency Medicine, Department of Pediatrics, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington.

Background: Limping is a common chief complaint in the pediatric emergency department (ED) and can be difficult to assess in pediatric patients, particularly if they have developmental delay.

Case Report: We present a case of a 5-year-old male with nonverbal autism who presented with a progressive limp, weakness, pain, and rash over the course of 1 month. A magnetic resonance imaging scan of the pelvis performed while the patient was sedated revealed multifocal osseous marrow signal abnormalities, ultimately consistent with vitamin C deficiency or scurvy. Read More

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Vitamin C Deficiency Presenting as an Acute Limp in Childhood.

Authors:
Andrew Kyprios

Cureus 2020 Jul 14;12(7):e9182. Epub 2020 Jul 14.

Paediatrics, Gloucester Royal Hospital, Gloucester, GBR.

A previously well three-year-old boy attended with right knee pain and an antalgic gait. There was no history of fever and bloods including inflammatory markers were normal. A diagnosis of transient synovitis (irritable hip) was made and managed conservatively. Read More

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BCG Infection due to MPT64-Negative Strain: A Diagnostic Challenge.

Am J Trop Med Hyg 2020 09;103(3):1072-1075

1Centre for Nanosciences and Molecular Medicine, Amrita Institute of Medical Sciences and Research Centre, Amrita VishwaVidyapeetham, Kochi, India.

MPT64 is a 24-kDa immunogenic protein that is widely used as a diagnostic marker for the differentiation of complex (MTBC) from nontuberculous (NTM). Unlike , Bacillus Calmette-Guerin (BCG) vaccine strains with RD2 deletion do not secrete MPT64. Culture isolates from infections due to these strains may be falsely identified as nontuberculous in the absence of clinical correlation. Read More

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September 2020

Retrospective chart review of minor tibial fractures in preschoolers: immobilisation and complications.

Emerg Med J 2020 Jun 3;37(6):345-350. Epub 2020 Apr 3.

Emergency Department, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia

Objective: To compare the treatment practices (immobilisation vs non-immobilisation) of toddler fractures and other minor tibial fractures (both proven and suspected) in preschoolers, aged 9 months-4 years, and examine rates of ED re-presentations and complications.

Methods: Retrospective chart review of presentations of minor tibial fractures, both proven (radiologically confirmed) or suspected (negative X-ray but clinical evidence of bony injury), in children aged 9 months-4 years presenting to a single tertiary level paediatric ED from May 2016 to April 2018. Data collected included treatment practices, subsequent unscheduled re-presentations (including reasons) and complications (defined as problems relating to the injury that required further active care). Read More

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Idiopathic Chondrolysis of the Hip Treated by Immunosuppressive Therapy and Arthroscopic Intervention.

Acta Med Okayama 2020 Feb;74(1):77-81

Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.

Idiopathic chondrolysis of the hip (ICH), a very rare disorder of unknown etiology, occurs mainly in female adolescents. Characterized by pain, limp, stiffness and radiological narrowing joint space from the rapid destruction of the articular cartilage, ICH sometimes results in ankyloses. We present the case of a 10-year-old girl diagnosed with ICH based on arthroscopic inspection and synovium biopsy. Read More

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February 2020

Placental Transfusion for Asphyxiated Infants.

Front Pediatr 2019 20;7:473. Epub 2019 Nov 20.

Department of Pediatrics, University of California, Davis, Davis, CA, United States.

The current recommendation for umbilical cord management of non-vigorous infants (limp, pale, and not breathing) who need resuscitation at birth is to immediately clamp the umbilical cord. This recommendation is due in part to insufficient evidence for delayed cord clamping (DCC) or umbilical cord milking (UCM). These methods may provide a neuroprotective mechanism that also facilitates cardiovascular transition for non-vigorous infants at birth. Read More

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November 2019

Scurvy Due to Selective Diet in a Seemingly Healthy 4-Year-Old Boy.

Pediatrics 2019 09 14;144(3). Epub 2019 Aug 14.

Division of Pediatric Radiology and.

Scurvy is a rare disease in developed nations. In the field of pediatrics, it primarily is seen in children with developmental and behavioral issues, malabsorptive processes, or diseases involving dysphagia. We present the case of an otherwise developmentally appropriate 4-year-old boy who developed scurvy after gradual self-restriction of his diet. Read More

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September 2019

Magnetic resonance imaging as a diagnostic modality in a child with acute lymphoblastic leukemia.

Proc (Bayl Univ Med Cent) 2019 Jul 21;32(3):405-407. Epub 2019 May 21.

Department of Pediatrics, Texas A&M Health Science Center and Baylor Scott & White McLane Children's Medical CenterTempleTexas.

Acute lymphoblastic leukemia is the most common form of childhood cancer. It presents with nonspecific symptoms, such as bone pain, that can be easily misdiagnosed at initial presentation. We present a 2-year-old boy with bilateral foot pain that worsened over 6 months. Read More

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Fifteen-minute consultation: The limping child.

Arch Dis Child Educ Pract Ed 2020 06 29;105(3):137-141. Epub 2019 Jun 29.

Royal Belfast Hospital for Sick Children, Belfast, UK.

The limping child is a common presentation to paediatric services. In most instances the cause is benign with few, if any, investigations required. There is, however, always that concern that the limping child may have an underlying limb-threatening or life-threatening disease. Read More

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A 20-month-old boy with a limp.

Paediatr Child Health 2019 Feb 12;24(1):1-2. Epub 2018 Apr 12.

Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario.

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February 2019

[Clinical manifestations and genetics analysis of collagen type Ⅵ-related myopathy caused by variants in COL6A3 gene].

Zhonghua Er Ke Za Zhi 2019 Feb;57(2):136-141

Department of Neurology, Children's Hospital, Capital Institute of Pediatrics, Beijing 100020, China.

To summarize the clinical manifestations and determine the molecular etiology for two collagen type Ⅵ-related myopathy pedigrees. Two spontaneous collagen type Ⅵ-related myopathy patients were admitted to Department of Neurology, Children's Hospital, Capital Institute of Pediatrics in October 2017. Clinical data of probands and their family members were collected and their genomic DNA was obtained for genetic testing. Read More

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February 2019

Difficult intubation in a neonate: a diagnostic dilemma.

BMJ Case Rep 2018 Nov 28;11(1). Epub 2018 Nov 28.

Pediatrics, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Difficult intubation in neonates has innumerable aetiologies. It especially poses a formidable challenge to save a newborn baby immediately after birth where antenatal details are unavailable. A late preterm neonate was born limp and apnoeic. Read More

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November 2018

Breath-Holding Spells in Pediatrics: A Narrative Review of the Current Evidence.

Curr Pediatr Rev 2019 ;15(1):22-29

Department of Paediatrics, The Chinese University of Hong Kong, Shatin, Hong Kong.

Background: Breath-holding spells are common, frightening, but fortunately benign events. Familiarity with this condition is important so that an accurate diagnosis can be made.

Objective: To familiarize physicians with the clinical manifestations, diagnosis, evaluation, and management of children with breath-holding spells. Read More

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A novel homozygous W99G mutation in CLDN-16 gene causing familial hypomagnesemic hypercalciuric nephrocalcinosis in Turkish siblings.

Turk J Pediatr 2018 ;60(1):76-80

Departments of Pediatric Nephrology, İzmir Tepecik Training and Research Hospital, , Izmir.

Alparslan C, Öncel EP, Akbay S, Alaygut D, Mutlubaş F, Tatlı M, Konrad M, Yavaşcan Ö, Kasap-Demir B. A novel homozygous W99G mutation in CLDN-16 gene causing familial hypomagnesemic hypercalciuric nephrocalcinosis in Turkish siblings. Turk J Pediatr 2018; 60: 76-80. Read More

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January 2019

Irritable Hip as the Inaugural Symptom for Neuroblastoma.

Case Rep Orthop 2018 28;2018:7428350. Epub 2018 Jun 28.

Pediatrics Department, Centro Hospitalar Tâmega e Sousa, Guilhufe, Portugal.

Case Report: A four-year-old girl presented with fever and a painful limp in the left hip. Pain characteristics and anemia detected in the blood analyses were the first warning signs that the hip process was not standard. Although the primary suspicion was of septic arthritis, a CT scan of the abdomen revealed an adrenal neuroblastoma. Read More

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Scurvy: A rare cause for limp in a child with autism spectrum disorder.

J Paediatr Child Health 2018 12 27;54(12):1375-1377. Epub 2018 Jun 27.

Department of Radiology, Sunshine Hospital, Melbourne, Victoria, Australia.

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December 2018

Two-Year-Old With a Limp and Suspected Nonaccidental Injury.

J Pediatr Gastroenterol Nutr 2018 07;67(1):e11

Center for Nutrition at Boston Children's Hospital, Harvard Medical School, MA.

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